{include file="frontend/$theme/header.tpl" title="header" }
<script src="{$baseurl}/javascript/product.js"></script>
<div id="main_wrapper"align="center" class="clearfix">
<div id="inner_wapr" class="clearfix"> 
	{include file="frontend/$theme/leftmenu.tpl" title="leftmenu" }
	  <div class="right_pane">
      
     
      <div class="main_product_pane">
        <div id="product_detail_dv">
        <div id="err_div" style="display:none" class="error"></div>
        
        {if $post.success eq 1}
        	<div class="success_msg"> Order placed successfully. </div>
        {else}    
           <h1> Place Order </h1>
          <form id="cart_form" action="{$baseurl}/cart.php" onsubmit="return order_form_validate()" >
          	<input type="hidden" name="action" value="saveOrder" />
          	<div class="right_box">
                 <table>
                	<tr> <td class="frm_label" align="right" nowrap="nowrap"> Name <span class="compulsory">*</span></td> <td> <input class="frm_inpt" type="text" name="name" id="name" /> </td> </tr>
                    <tr> <td class="frm_label" align="right" nowrap="nowrap"> Email <span class="compulsory">*</span> </td> <td>  <input class="frm_inpt" type="text" name="email" id="email" /></td> </tr>
                    <tr> <td class="frm_label" align="right" nowrap="nowrap"> Company Name  </td> <td> <input class="frm_inpt" type="text" name="company" id="company" /> </td> </tr>
                    <tr> <td class="frm_label" align="right" nowrap="nowrap"> Contact </td> <td> <input class="frm_inpt" type="text" name="contact" id="contact" /></td> </tr>
                    <tr> <td class="frm_label" align="right" nowrap="nowrap"> Phone Number </td> <td> <input class="frm_inpt" type="text" name="phone_number" id="phone_number" /> </td> </tr>
                    <tr> <td class="frm_label" align="right" nowrap="nowrap"> Message </td> <td> <textarea  class="txr_area" name="message" id="message"></textarea></td> </tr>
                    <tr> <td>&nbsp;  </td> <td> &nbsp;&nbsp;&nbsp; <input type="image" src="{$imgurl}/place_odr.png" /></td> </tr>
                    
                </table>    
                 
            
             
          	</div> <!--end right box div-->
          </form>
          {/if}
        </div>
       
      </div>
     
      
    
        <div class="clr">&nbsp;</div>
  </div>
</div>
{include file="frontend/$theme/footer.tpl" title="footer" }
